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T__._..._-_____� --�- - -- .. ,.. - - - - - �. . '"' CITY OF DIAMOND BAR pRESS ` '-•'�' DEPARTMENT OF BUILDING ANO SAFETY �� BUILDING PERMIT FIRMLY JOBSITE , APPLKATION �_��� PERMIT 1 g C.. SE ADDRESS ��S S- S' DATE NUMBER CODE ISSUE TYPE OCC. � APN LOT TRACT DATE �`—�`� CONST. GROUP o CROSS STR ZONING SETBACKS 'i7O1E1�Nf5 " OWNER FRONT RW ❑ o ADDRESS REAR ❑ W CITY � IP TEL. � SIDE/SIDE STREET RW ❑ o APPI��=ANT -ST�'lil.P_,J,�oi�TEL. SIDE ❑ : . ` CONTRACTOR SEWAGE ❑ PUBLIC PMT� o ADDRESS 7 • - DISPOSAL ❑ pRIVATE SU.FT./100 GAL W CITY � . ZIP TEL.G z STATE ���^�p-G�7 , y LIC.NUMBER y/) 7 � GRADING= ❑CU.YDS.EXC. CU YDS FILL N ARCH/ENG/ � TYPE SQ FT FACTOR PS ADJ. AREANALUATION ¢ DESIGNER W � � ADDRESS lt. 2 0 = CITY ZIP TEL. 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W ❑O.ism ol Md�snul S�leh Fermn No TOTAL FEES � CONSfRUCT17J LEN�MC AGEHC!1 hnehy alhrm tlut tlrre u�tomtraoon Yndnp pmcy lor�N prbrmrrc� � = ol ihe wwk Irc wht�R�n permn u�ssued ISa.]097,Gu C 1 � <<'"�'�"� COMMEPlTS = lende�'t 4dd�ess no 4 LfRTIffATE OF C�RIAICE ANO AIfTFIdtlZATdI OF FNiAY I crhfy I lu.e nd tlr�pdrilon ar4�uh �n qu�th�n�>mJion dven q�drM I pR lo Comp�/wnh�I1 sutr Iwvs Md i�ry adx+rca nl.irq m buNp � ionsvutm.ud�urtnve�Rprssem�me d Ne i d BuA1^N�d Sahtr b�nw Wen 1M M��'I = M whKA I rA r 4�n�nmq Ia Ih /F�tnq in 1-- (��[�-^�ln /�� l.� � � � � RECPT NO. - ` "v"� PA108Y -u/� ` VALJDATION Sqn e ol Ay�i'c .�a Apmt O+w WHITE—Department Copy,YELLOW—Finanee Copy.PINK—Ilssessor Copy,GOLDENROD—Fiie Copy.GREEN—Applieanls Copy 8S10G-11/83 , , .. " .i:: , , �' . , .�D T�• � . .�f.' . ::�� • . „ . . , � ,.. ...,. .t. , . .. 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